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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING))I~'" 9l~ - 2f39 <br />\,Jd tu> L \ oj b'l- <br /> <br />PHONE 8'3 - gg2 - 406,3 j/33 <br /> <br />L.uifJar !--iJ/y/5. J16 <br />JOB ADDRESS ~ mercl\o.flN \ \ \e ~ <br />LEGAL DESCRIPTION: LOT (S) 9 BLOCK --&.- SUBDIVISION <br />PARCEL I D # 3)'- d-.-[). 2 ! - () \2'0- QrfYb- ~ {f'FD <br /> <br />OWNER'S NAME <br /> <br />6u-.i.fviuJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: I:ll NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: I'iISGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lSi,osCt <br />l1{)'d X yD <br /> <br />\ 1atl(L~~ ~~dCt /I+- <br /> <br />SQUARE FO TAGE J3ltJ J <br /> <br />HEIGHT _____________ <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />~ELECTRICAL <br /> <br />~PLUMBING <br /> <br />~ MECHANICAL $ '\...} \ Q;C(). -- VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OFING ~ALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: if BLOCK 0 FRAME <br /> <br /> <br />FINISHED FLOOR ELEVATIONS ~ . d<; <br /> <br />PERMITS REQUESTED <br />$_\3D,SIO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />(rz9 <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***~_,.w~********~************************************************* <br /> <br />SIGNATURE <br /> <br />~ A1~ <br /> <br />COMPANY &lm{)t7.:~9-1,,--, <br />or; /.~/_')./ .I{ <br />STATE CERT OR REGIST # ~~ ~ .L= <br /> <br />ELECTRICIAN <br /> <br />************************************************************k***** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />w~ <br /> <br />COMPANY ~-().1<..R.-..+. . " <br /> <br />STATE CERT OR REGIST # CF(',..,o9J ~lr; k) <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :;g. * * * * 1 *G * * *,,* * * * * * * * * <br /> <br />~. COMPANY. o,.,.q -VJj0f1 J~ <br />Af)~ STATE CER'r OR REGIST # C!4CLJ5;') A// () <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />1 <br />COMPANY C. 0tmUf1<t~ ~'t- <br />STATE CERT OR REGIST # .l1m.s,-:I () /3 <br /> <br />~~H7 <br /> <br />OTHER <br />